So..i thought i would talk a little about Cauda Equina. I remember the day i found out that I had Cauda Equina, it was several days after my emergency operation..'.Cauda what'?! i thought....it's a rare syndrome and classed as a spinal cord injury my sister told me after she googled it on the net.
Mmmm..I still don't understand what it means?
So the following months i learnt, I also learnt that as far as CES goes, I am my best teacher. The experiences I went through taught me more than I could ever read. I learnt about spasms, nerve pain, UTI's, nerves- some with connection and some without. I learnt if i get warm then my feet will feel like they are seriously on fire as opposed to the usual feeling of 'on fire'.
I also learnt that my relationships with the people in my life altered, what I was/am to different people, changed. I learnt that my bowels had a law onto themselves and would become a continuous annoyance and that catheterising was a daily chore mixed with UTI's and bladder spasm, so even more a chore...oh and that self wheeling is a pain ion the snow, bumpy surfaces and crutches were weapons of danger in the rain
I also learnt that if I didn't give myself the biggest kick up the ass then I was going to let this Cauda Equina thing get the better of me and I have never allowed anything keep me down for too long.
So, I worked hard, hard at physio, hard with my metal attitude and didn't take every word every consultant said as gospel because no one knows my body better than me!
I'm pleased and proud of the improvements I have made in my life and I am very happy to say that the influence of someone close to me in my life and very special was and is very influential to me...
So, to anyone else out there with this, simple advice....Don't let CES (or any spinal cord injury) define you, you are still the person you were. except now you are rather more interesting and a little more complex.
Thanks for sharing your experience Lara! The most important thing people should learn like you've mentioned is to not let their injuries get the best of them. I haven't myself and I know you haven't. Staying positive is key and it will help you recover quicker both mentally and physically!
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I think that one thing I find frustrating about CES is the lack of info out there and little knowledge or understanding of the condition by many medical practitioners.
If we call it spinal cord injury we can find general info on the internet yet practitioners who do not have expertise in the field will also have limited knowledge but CES is, i feel, little understood and is complex.
I remember in my spinal unit the physio said that the electrical stimulation would not work on me so they would have to resort to the traditional methods of working with me. Why so? i wondered. I also remember a doctor at my spinal unit saying 'Ah, you have CES, so you won't have any ankle reflex'. With that he gets out his tester and knocks on the back of my ankles saying 'yes you have no reflex there' I was intrigued because at this point I was 9 months post injury and i didn't even notice lol.
Post by kilg0retr0ut on Jul 13, 2013 15:42:09 GMT -8
Thats another reason I was excited to see a CES forum. When I was first looking for info, I wasn't finding much. I had a OT that said Wise was her favorite. I forgot about it till month's later then stumbled on CC. I'm glad there is more info out there, it's not a easy thing to explain.
Yeah, I was clueless. I had just come out of a MRI, had just been cathed for the first time, the I.V. was running and things were getting blurry. You have cauda equina syndrome and we need to operate. He explained it the best he could as they were rolling me away, he might as well sang me the brady bunch song.
Thats another reason I was excited to see a CES forum. When I was first looking for info, I wasn't finding much. I had a OT that said Wise was her favorite. I forgot about it till month's later then stumbled on CC. I'm glad there is more info out there, it's not a easy thing to explain.
Yeah, I was clueless. I had just come out of a MRI, had just been cathed for the first time, the I.V. was running and things were getting blurry. You have cauda equina syndrome and we need to operate. He explained it the best he could as they were rolling me away, he might as well sang me the brady bunch song.
I'm quite excited that we are building up a CES community. I hope that CES peeps find this an informative place and we will keep growing and developing this section, especially that i have a huge interest and motivation.
Much needs to change in this area of Spinal Cord Injury and awareness. In this country there are red flag signals that all professionals look out for and yet 3 doctors failed to recocgnise when i presented all of them and that's shocking.
Post by kilg0retr0ut on Jul 14, 2013 7:39:26 GMT -8
I agree. I had atleast 5 docs, and one neuro surgeon missed them. Everyone seemed to be waiting for me to lose strength in my legs which I didn't until the evening when I felt the warm wave of numbness that traveled from my left leg, across groin and into my right leg. What a relief pain wise, but I was paralyzed from the waist down. Bummer...
L4/5 CES
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I agree. I had atleast 5 docs, and one neuro surgeon missed them. Everyone seemed to be waiting for me to lose strength in my legs which I didn't until the evening when I felt the warm wave of numbness that traveled from my left leg, across groin and into my right leg. What a relief pain wise, but I was paralyzed from the waist down. Bummer...
That's so bad....so can I ask what effects you have been left with now?
For me my legs were the first to go, then my bladder, bowels and sexual function..the numbness started in my saddle area and spread gradually down to my feet. I had more rectal tone checks than I cared for and pin prick tests lol.
Post by kilg0retr0ut on Jul 14, 2013 10:45:08 GMT -8
Your description seems so similar to mine. I have some bladder return, I'm not voiding completely. My bowels work slow, I'm constipated pretty much all the time. I kept logs on everything for along time and finally just quit, no real patterns. My left leg is toast, looks like a pirate's peg leg, my right is deformed a bit.
My toes on my right foot kinda curl under. Have a type of fatique I'd never felt before. Rergular neruo pain and was lucky enough to experience electric shock like episodes as well. I weaned myself off my meds shortly after leaving the hospital, but after about a year I'd had enough of the shocks. I tried many meds all non-narcotic until I settled on Lyrica, and Tramadol. Lyrica takes most of the shocks away.(about 90%) The tramadol seems to numb up my numb legs, that lets me stay upright longer through the day. Of course there is a price to pay for the relief, you kinda have accept the trade-off.
The good news is that I fell into a excellent group of people who have worked with me to keep me upright. I'm on my second pair of AFO's, they rock. They give me a piviot point under the pad of my right foot, it gives me a decent gait. I still breaking them in, I can only keep then on for 5 or 6hrs. before they sceam to come off. Even though my right leg is my good leg, it's pretty uncomfortable with more feeling.
I am a ces sufferer. I had surgery on Christmas Day 2012, so I'm still expecting some more improvements. I had surgery roughly 100 hours from the on set of my L4/5 centrally herniated disc. My issues as of now are no bladder function, irritable bowel, left foot and calf numbness and weakness, saddle numbness and occasional nerve pain. I had a sacral nerve implant put in in hopes to jump start my bladder but it did not work. However, it did help with my bowel pain a lot. I am just like most, learning as I go. I would be interested in anything that could help my gait. Walking is very slow and exhausting. I will check out the afo's. thanks
You're still fairly new to the 'injury' so I think you've still got lots of time for improvement! Your health issues are definitely similar (when it comes to what's affected) to those who have suffered CES. What exactly is the function of a sacral nerve implant? Has it not helped your bladder function at all? I've got no control of my bowel and bladder as well but if I were to get a function back first, I'd want it to be my bladder.
The nerve implant is like a tens unit. It sends a series of pulses to the wire that is in my lower back (sacrum). The pulsing calms my bowel spasms which gives me great relief. It was hopefully going to stimulate the nerves for the bladder but did not. My bowel spasms were consuming my life so in my case, I'm grateful for the relief and can deal with the self cath. That is just mainly a inconvenience or me.
I am a ces sufferer. I had surgery on Christmas Day 2012, so I'm still expecting some more improvements. I had surgery roughly 100 hours from the on set of my L4/5 centrally herniated disc. My issues as of now are no bladder function, irritable bowel, left foot and calf numbness and weakness, saddle numbness and occasional nerve pain. I had a sacral nerve implant put in in hopes to jump start my bladder but it did not work. However, it did help with my bowel pain a lot. I am just like most, learning as I go. I would be interested in anything that could help my gait. Walking is very slow and exhausting. I will check out the afo's. thanks
I will get a couple pictures up soon of the AFO's. I had to work up to the ones I'm using now. My first set were molded plastic, it was great that I got them when I did as I was at the point of about 20 min. on my feet was all I could take. I had to build up my core, and spent the first year doing floor exercises, band work and range of motion work daily. Then I was sent to a gym with a trainer who was P.T., he set up a workout for me. I was with him for 6 months, 2 to 3 times a week. Then I bought a cage and they set up a routine I could do at home. I've been doing that 2 to 3 times a week since. (well until I got the new braces)These new carbon fiber braces still took some time, or are still taking time to get used to. I tell all my friends it's like breaking in a pair of boots, but really it's more like breaking in your body to the braces. A tad hard on the hips and lower back but worth the results.
The nerve implant is like a tens unit. It sends a series of pulses to the wire that is in my lower back (sacrum). The pulsing calms my bowel spasms which gives me great relief. It was hopefully going to stimulate the nerves for the bladder but did not. My bowel spasms were consuming my life so in my case, I'm grateful for the relief and can deal with the self cath. That is just mainly a inconvenience or me.
Well, it's good to hear that it's atleast helped with something!